저자들은 1년 6개월전 시술된 자궁내피임장치(mu-ltilaod type)와 동반된 임신으로 자궁내 피임장치 제거, 임신중절수술 및 L/S후 발생한 골반 농양이 자궁내 피임장치에 의한 방선균 감염인지, L/S 시술시 기구를 통한 방선균오염에 의한 감염인지 알 수 없었으나, 수술 후 병리조직검사에 의한 sulfur gra-nule 확인으로 진단된 방선균감염에 의한 골반 농양 1예를 경험하였기에 보고하는 바이다.

Actinomycosis is a chronic suppurative and granulomatous disease characterized by formation of multiple abscesses and sinus tracts. Actinomyces species are gram-positive, non-acid fast anaerobic bacteria that exhibit branching, filamentous growth. They are normal inhabitants of the human gastrointestinal tract, in both oropharynx and bowel. Actinomyces israelii is the most common agent in human disease. In most instance, pelvic actinomycosis is related to IUD and the colonization rate appear to increase with the duration of IUD. The relatively high cervicovaginal actinomyces colonization rate suggests that all patients with IUDs should undergo annual cytologic smear, with specific attention given to the presence of actinomyces. The authors are experienced a case of pelvic actinomycosis and reported with a review of literature.